Coding multiple procedures | Examples with modifiers

Biopsies and lesion destruction codes are often performed at the same patient visit. This leads to questions about bundling and modifiers. There are two steps to billing these correctly and avoiding denials:

Check the total RVU values
Check the NCCI edits.

There is a step-by-step procedure for coding multiple procedures at the end of this article. It will show you how to do this with any two procedure codes. But, here are some common combinations.

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Last revised October 12, 2020 - Betsy Nicoletti
Tags: Dermatology, general surgery, modifiers

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In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions. For more about Betsy visit www.betsynicoletti.com.